Salem, OR ·
OSHA Injury Report: 1492 - SALEM OR
Injury · Job transfer or restriction
At a glance
On , an injury at 1492 - SALEM OR in 4885 27th Ave SE, Salem, OR 97306 resulted in job transfer or restriction. Employee was service deli clerk in wholesale Grocer.
Where did this happen?
- Establishment
- 1492 - SALEM OR
- Parent company
- Costco Wholesale
- Street
- 4885 27th Ave SE
- City
- Salem
- State
- OR
- ZIP
- 97306
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 83
Before the incident
pushing a cart
What happened
pushing cart from the department into the cooler and slipped and fell injuring wrist
Injury or illness
Strain Sprain Wrist Left Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Wrist Left Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023: Fast Food and Counter Workers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 485
- Hours worked at this establishment (2023 total)
- 693,832
- EIN
- 911223280
- Establishment ID
- 1217096
- Employer case #
- WC608G5420
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 19:55
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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